Residential
Council for Extended Care
Council for Extended Care was paid $98.04M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 94% of everything it billed.
33Billing provider infoCOUNCIL FOR EXTENDED CARE
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
33aNPI1285755579assigned 04/03/2007
28Total paid$98.04M
24GClaims266,599
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Missouri
Rank by total paid#1 of 40
Median peer was paid$4.92M
This provider vs. median20×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 41,025 | $10.83M | |
| 2019 | 41,042 | $11.31M | |
| 2020 | 37,312 | $11.45M | |
| 2021 | 34,531 | $11.90M | |
| 2022 | 35,597 | $15.29M | |
| 2023 | 39,569 | $19.04M | |
| 2024incomplete | 37,523 | $18.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 94% | 213,378 | 7,200 | $92.52M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 1.4% | 7,932 | 1,677 | $1.41M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 1.1% | 10,393 | 2,329 | $1.04M |
| T1002 | Rn services, up to 15 minutes | <1% | 11,272 | 7,104 | $661K |
| T2001 | Non-emergency transportation; patient attendant/escort | <1% | 5,009 | 4,968 | $645K |
| S5108 | Home care training to home care client, per 15 minutes | <1% | 6,041 | 1,074 | $560K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | <1% | 3,544 | 500 | $502K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | <1% | 5,414 | 760 | $353K |
| 97156 | <1% | 2,197 | 927 | $197K | |
| 0369T | <1% | 653 | 138 | $76K | |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 121 | 121 | $51K |
| 0368T | <1% | 645 | 143 | $28K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPRESNELL, VICTORIA (EXECUTIVE DIRECTOR)